| Code | Description | Claims | Beneficiaries | Total Paid |
|---|
| E0691 |
Ultraviolet light therapy system, includes bulbs/lamps, timer and eye protection; treatment area 2 square feet or less |
310 |
297 |
$20K |
| K0108 |
Wheelchair component or accessory, not otherwise specified |
1,117 |
450 |
$9K |
| E2366 |
Power wheelchair accessory, battery charger, single mode, for use with only one battery type, sealed or non-sealed, each |
303 |
283 |
$7K |
| K0739 |
Repair or nonroutine service for durable medical equipment other than oxygen equipment requiring the skill of a technician, labor component, per 15 minutes |
850 |
702 |
$5K |
| E2365 |
Power wheelchair accessory, u-1 sealed lead acid battery, each (e.g., gel cell, absorbed glassmat) |
170 |
157 |
$5K |
| E2386 |
Power wheelchair accessory, foam filled drive wheel tire, any size, replacement only, each |
75 |
72 |
$1K |
| E2394 |
Power wheelchair accessory, drive wheel excludes tire, any size, replacement only, each |
75 |
72 |
$760.05 |
| E2374 |
Power wheelchair accessory, hand or chin control interface, standard remote joystick (not including controller), proportional, including all related electronics and fixed mounting hardware, replacement only |
14 |
12 |
$591.48 |
| E2387 |
Power wheelchair accessory, foam filled caster tire, any size, replacement only, each |
28 |
27 |
$403.55 |
| E2396 |
Power wheelchair accessory, caster fork, any size, replacement only, each |
29 |
28 |
$318.63 |
| E2392 |
Power wheelchair accessory, solid (rubber/plastic) caster tire with integrated wheel, any size, replacement only, each |
32 |
29 |
$293.57 |